Kalafo ea visceral leishmaniasis: litlhare le tlhokomelo

Litaba

• Mekhoa e mengata ea ho sebelisa
• Tlhokomelo nakong ea kalafo
• Matšoao a ntlafatso
• Matšoao a ho mpefala

Kalafo ea visceral leishmaniasis, eo hape e tsejoang e le kala azar, e etsoa, ​​haholoholo, ka Pentavalent Antimonial Compound, matsatsi a 20 ho isa ho a 30, ka sepheo sa ho loants'a matšoao a lefu lena.

Visceral Leishmaniasis ke tšoaetso e bakoang ke protozoan BrazilLeishmania chagasi, e fetisoang ke likokoanyana tsa mofutaLutzomyia longipalpis leLutzomyia cruzi. Lefu lena le mpefala butle mme le ka ba le tebileng, ka hona, boteng ba matšoao le matšoao a bonts'ang Leishmaniasis ea visceral, ho bohlokoa ho ea ngakeng, bakeng sa tlhahlobo e nepahetseng le kalafo. Ithute haholoanyane ka mokhoa oa ho khetholla visceral leishmaniasis.

Ntle le meriana ea ho felisa protozoan, kalafo e tlameha ho kenyelletsa taolo ea mathata a tloaelehileng a lefu lena, joalo ka khaello ea mali, letšollo, khaello ea phepo e nepahetseng, ho tsoa mali le tšoaetso ka lebaka la ho theoha ha boits'ireletso ba mmele, hobane ana ke maemo a fokolisang 'me a ka fokotsang bophelo ba motho bo kotsing.

Mekhoa e mengata ea ho sebelisa

Meriana e ka sehloohong e sebelisetsoang ho phekola Levismaniasis ea "visceral" ke "Pentavalent Antimonial Compound", e kang meglumine antimoniate le sodium stibogluconate, e leng eona khetho e ka sehloohong ea kalafo, e sebelisitsoeng ka tekanyetso ea methapo kapa ea venous, matsatsi a 20 ho isa ho a 30. Fumana lintlha tse ling mabapi le hore na e sebelisoa joang le theko ea moriana o sebelisitsoeng ka ho fetisisa kalafong ea Leishmaniasis.

Maemong a 'maloa, meriana ena e ka baka litla-morao, joalo ka arrhythmias, ho opeloa ke' mele le takatso e fosahetseng ea lijo, 'me ea hanyetsoa ho batho ba nang le liphio kapa ho hloleha ha sebete, ho basali ba baimana ho li-trimesters tse peli tsa pele tsa bokhachane le maemong a bontšang matšoao a liphetoho ho electrocardiogram, e tsejoang e le keketseho ea nako ea QT.

Likhetho tse ling tse ka sebelisoang maemong a ho haella kapa ho hanana le litlhare tsena ke liposomal Amphotericin B, ho hasana ha colloidal-Amphotericin B, Pentamidines le li-immunomodulators, joalo ka gamma interferon le GM-CSF, ntle le Miltefosina, eo hape e leng moriana oa molomo kalafong. ea leishmaniasis.

Tlhokomelo nakong ea kalafo

Pele o qala kalafo, ho tlameha ho hlokomeloe, ho kenyelletsa le tlhahlobo le botsitso ba maemo a kliniki a bakoang ke lefu lena, joalo ka ho apara kapa ho tšela mali bakeng sa taolo ea mali, phetisetso ea tšepe le vithamine kapa, ha ho hlokahala, tšelo ea mali, ho thusa kalafo ho hlaphoheloa ke mali, ho ja le liprotheine le likhalori ho ntlafatsa khaello ea phepo e nepahetseng le ts'ebeliso ea lithibela-mafu ho phekola mafu

Kalafo e ka etsoa hae, ha feela motho a khona ho fumana tlhokomelo e hlokahalang sebakeng sena mme a khona ho ea sepetlele ho ea fumana meriana le ho hlahlojoa bocha ke bongaka. Ntle le moo, ho lokela ho buelloa ho kena sepetlele neng kapa neng ha ho na le:

• Phokolo ea mali e matla, e nang le hemoglobin e ka tlase ho 5 g / dL;
• Letšollo le matla kapa le lelelele;
• Khaello ea phepo e nepahetseng;
• Boteng ba ho tsoa mali;
• Ho ruruha ho akaretsang;
• Boteng ba mafu a mang a amanang le ona, joalo ka khatello e phahameng ea mali, lefu la pelo, nephropathy kapa lefu la sebete;
• Bana ba ka tlase ho likhoeli tse 6 kapa batho ba tsofetseng ba fetang lilemo tse 65;
• Ha lefu lena le khutla kamora hore kalafo e felile kapa ha ho na karabelo kalafong.

Ntle le moo, kamora hore kalafo e phethoe, motho o tlameha ho lateloa ke ngaka kamora likhoeli tse 3, 6 le 12 mme, haeba a lula a tsitsitse tekong ea ho qetela, mokuli o nkuoa a folisitsoe.

Matšoao a ntlafatso

Matšoao a ntlafatso a se a ntse a ka hlaha kamora beke ea pele kamora ho qala kalafo mme a tšoauoa ka phokotso ea feberu, phokotso ea mpa e ruruhileng, boima ba 'mele le ho hlaphoheloa hoa boemo.

Matšoao a ho mpefala

Matšoao ana a atile haholo ha kalafo e sa qaloe kapele mme e kenyelletsa ho eketseha kapa ho ipheta ha feberu, ho theola boima ba 'mele, bofokoli bo sa feleng, tšoaetso ea vaerase le baktheria' meleng le ho tsoa mali.